KERSHAW HOSPITAL LLC (NPI# 1588737498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588737498 |
| Entity Type | Organization |
| Organization Name | KERSHAW HOSPITAL LLC |
| Practice Address |
1315 Roberts St Camden SC 29020-3737 |
| Mailing Address |
Po Box 7003 Camden SC 29020-7003 |
| Practice Telephone | 8037136376 |
| Mailing Telephone | 8037136376 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2016-09-16 |
| Authorized Official Name | MR. MICHAEL A WIECHART (PRESIDENT AND CEO) |
| Authorized Official Telephone | 6158449800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | IC0031 | 05 | |
| SC | CLIA# | 42D0248614 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093705121 | Kershaw Hospital LLC | Home Health | 1165 Highway 1 S, Lugoff, SC 29078-8966 | 2005-10-28 |
| 1679564702 | Kershaw Hospital LLC | Clinic/Center | 103 South Main Street, Bethune, SC 29009 | 2005-10-28 |
| 1861996142 | Kershaw Hospital LLC | Psychiatric Unit | 1315 Roberts St, Camden, SC 29020-3737 | 2018-03-21 |
| 1629442397 | Kershaw Hospital LLC | Emergency Medicine | 40 Pinnacle Pkwy, Elgin, SC 29045-8390 | 2015-11-18 |
| 1316322027 | Kershaw Hospital LLC | Internal Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2015-07-23 |
| 1508094913 | Kershaw Hospital LLC | Clinic/Center | 40 Pinnacle Parkway, Building 100, Elgin, SC 29045 | 2009-06-24 |
| 1093706970 | Kershaw Hospital LLC | Hospice Care, Community Based | 1165 Highway 1 S, Lugoff, SC 29078-8966 | 2005-10-31 |
| 1245220300 | Kershaw Hospital LLC | General Acute Care Hospital | 1315 Roberts St, Camden, SC 29020-3737 | 2005-10-28 |
| Street Address |
1315 ROBERTS ST |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721076 | Samuel William Polen | Emergency Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2005-06-24 |
| 1710528260 | Gina Allen | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2019-10-07 |
| 1710543384 | Scott Patrick King | Physical Therapist | 1315 Roberts St, Camden, SC 29020-3737 | 2019-05-19 |
| 1598232332 | Jessica Leigh Davis Atkinson | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2018-10-30 |
| 1861996142 | Kershaw Hospital LLC | Psychiatric Unit | 1315 Roberts St, Camden, SC 29020-3737 | 2018-03-21 |
| 1073986048 | Kershaw Anesthesia, LLC | Anesthesiology | 1315 Roberts St, Camden, SC 29020-3737 | 2015-11-12 |
| 1386029882 | Sarah Creed Bradley | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2015-07-25 |
| 1316322027 | Kershaw Hospital LLC | Internal Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2015-07-23 |
| 1174903314 | Low Country Physicians Group, LLC | Emergency Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2015-06-03 |
| 1760876585 | Jack Robert Maxfield | Registered Nurse | 1315 Roberts St, Camden, SC 29020-3737 | 2015-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760038848 | Intramed Plus Infusion & Medical Services, Pa | Clinic/Center | 1200 Woodruff Rd Ste G24, Greenville, SC 29607-5735 | 2019-08-14 |
| 1891232880 | Palmetto Health | Clinic/Center | 3010 Farrow Rd Ste 110, Columbia, SC 29203-7603 | 2017-01-27 |
| 1285874925 | Anderson Health & Wellness Center LLC | Clinic/Center | 1510 N Fant St, Anderson, SC 29621-4708 | 2009-02-20 |
| 1942369624 | Prisma Health-midlands | Clinic/Center | Palmetto Health - Enhanced Medicaid, 3301 Harden St Ext 7mp, Columbia, SC 29203-9965 | 2006-12-08 |
| 1649359928 | Homechoice Partners, Inc | Clinic/Center | 160 Congress Blvd, Ste D, Duncan, SC 29334-9478 | 2006-11-06 |
| 1932132073 | Palmetto State Staffing Group, LLC | Clinic/Center | 113 Cherokee Rd, Suite 2, Florence, SC 29501-5247 | 2006-07-09 |
| 1730734468 | Intramed Plus Infusion & Medical Services, Pa | Clinic/Center | 112 Saluda Ridge Ct Ste 200, West Columbia, SC 29169-3461 | 2019-08-08 |
| 1770039885 | Prisma Health-upstate | Clinic/Center | 701 Grove Rd, Greenville, SC 29605-4210 | 2016-08-29 |
| 1043533896 | Mit Ambulatory Care Center | Clinic/Center | 149 Riverwalk Blvd, Suite 6, Ridgeland, SC 29936-8190 | 2010-03-09 |
| 1538177019 | Greenville Health System | Clinic/Center | 701 Grove Rd, Greenville, SC 29605-5611 | 2006-08-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.